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Asian Journal of Neurosurgery

Abbas Amirjamshidi, Kazem Abbassioun
No abstract text is available yet for this article.
April 2018: Asian Journal of Neurosurgery
Maysam Alimohamadi
No abstract text is available yet for this article.
April 2018: Asian Journal of Neurosurgery
Prasad Krishnan, Rajaraman Kartikueyan, Sachinkumar Maheshbhai Patel, Sayan Das
No abstract text is available yet for this article.
April 2018: Asian Journal of Neurosurgery
Dilshod Mamadaliev, Yoko Kato, Sandeep Talari, Tushit Mewada
No abstract text is available yet for this article.
April 2018: Asian Journal of Neurosurgery
Indu Kapoor, Hemanshu Prabhakar, Charu Mahajan
No abstract text is available yet for this article.
April 2018: Asian Journal of Neurosurgery
Amit Agrawal
No abstract text is available yet for this article.
April 2018: Asian Journal of Neurosurgery
Ali Akay, Mete Rükşen, Sertaç İşlekel
Vascular compression has been reported to be the most common reason for vago-glossopharyngeal neuralgia (VGN). The treatment may include medications, ganglion blockade with a radiofrequency ablation, and microvascular decompression (MVD). A review of the literature reveals that VGN may develop due to choroid plexus compression, and the number of reported cases is very limited. The current case is the fifth in the relevant literature. In this paper, choroid plexus compression has been shown intraoperatively during the treatment of rare idiopathic VGN using MVD...
April 2018: Asian Journal of Neurosurgery
Seckin Aydin, Odhan Yuksel, Aysegul Esen Aydin, Osman Kizilkilic, Suat Erol Celik
Synthetic cannabinoids (spice), which are used frequently worldwide, are more potent than herbal compounds and also have more side effects in comparison. A 23-year-old male was admitted to the emergency unit with altered consciousness. There was no sign of trauma, and his medical history did not reveal any chronic illness. Computed tomography revealed a large frontal hematoma extending to the ventricular system. The outcomes of cerebral angiography were consistent with multiple intracranial arterial stenoses (MIAS) which can also be seen after cannabis usage...
April 2018: Asian Journal of Neurosurgery
Victor Kwasi, Kunihiko Kodama, Toshiya Uchiyama, Yoshikazu Kusano, Toshiyuki Shimizu, Kazuo Tokushige, Toshiki Takemae
Neurocysticercosis is a condition rarely reported in Japan, and therefore, the specific route of infestation in our set up has not been conclusively elucidated. Preoperative diagnosis remains difficult to make with certainty due to the slowly evolving nature of the disease and the fact that there are no typical characteristic clinical findings particularly associated with the disease. The hematological, serological, serum biochemistry, stool, and radiological tests were nonspecific for neurocysticercosis. The characteristic neuro-imaging findings were demonstrated in this case, and histopathology confirmed Taenia solium parenchymal infestation...
April 2018: Asian Journal of Neurosurgery
Arun Oommen, Jayasree Govindan, Devan Surendran Peroor, C Roshan Azeez, R Rashmi, Muhammed Jasim Abdul Jalal
Intraparenchymal or intradiploic epidermoid cysts are very rare. Most of these cysts, when present, tend to involve the frontal and temporal lobes, and occasionally, the pineal gland or the brain stem. Here, we report a 45-year-old female, who presented with localized occipital headache and a tender occipital swelling, gradually increasing in size. She was hemodynamically and neurologically stable and did not have any focal neurological deficits. Whole skull and brain imaging revealed a well-demarcated expansile lytic lesion in the right occipital bone, which was hypointense on T1-weighted and hyperintense on both T2-weighted imaging and diffusion-weighted imaging without any contrast enhancement...
April 2018: Asian Journal of Neurosurgery
Liang Hooi Lim, Zamzuri Idris, Faruque Reza, Wan Mohd Nazaruddin Wan Hassan, Laila Abd Mukmin, Jafri Malin Abdullah
The role of language in communication plays a crucial role in human development and function. In patients who have a surgical lesion at the functional language areas, surgery should be intricately planned to avoid incurring further morbidity. This normally requires extensive functional and anatomical mappings of the brain to identify regions that are involved in language processing and production. In our case report, regions of the brain that are important for language functions were studied before surgery by employing (a) extraoperative methods such as functional magnetic resonance imaging, transmagnetic stimulation, and magnetoencephalography; (b) during the surgery by utilizing intraoperative awake surgical methods such as an intraoperative electrical stimulation; and (c) a two-stage surgery, in which electrical stimulation and first mapping are made thoroughly in the ward before second remapping during surgery...
April 2018: Asian Journal of Neurosurgery
Saba Jafarpour, Morteza Faghih Jouibari, Leila Aghaghazvini, Vafa Rahimi-Movaghar
We report a case of a 12-year-old boy with previously shunted congenital hydrocephalus, presenting with a progressive headache, nausea, vomiting, and lethargy. In the brain magnetic resonance imaging, a large cyst was seen in the superior recess of the fourth ventricle extending through the cerebral aqueduct toward the third ventricle. Endoscopic dual fenestration of the cyst was performed successfully using the posterior suboccipital approach through the foramen of Magendie, which resulted in the relief of symptoms without any complications, and the patient was symptom-free in the subsequent follow-up visits for 4 years...
April 2018: Asian Journal of Neurosurgery
Jung-Hoon Kim, Jin-Gyu Choi, Byung-Chul Son
Cavernous hemangiomas are not true vascular tumors, but rather are slow-flow venous malformations (VMs). They are present at birth as nonproliferating vascular birthmarks composed of anomalous ectatic venous channels. VMs have often been incorrectly called cavernous hemangiomas and cavernous angiomas. These terms have for a long time lead to confusion with the more common proliferating or true hemangioma of infancy. VM has been reported to arise at all sites including skin and subcutaneous layers of the head and neck, face, extremities, liver, gastrointestinal tract, and even the thymus...
April 2018: Asian Journal of Neurosurgery
Ilya Senko, Anton Shatokhin, Ishu Bishnoi, Yasuhiro Yamada, Riki Tanaka, Daisuke Suyama, Tukasa Kawase, Yoko Kato
Intraoperative aneurysmal rupture (IAR) is the most fearsome complication of aneurysm surgery. IAR associates with high morbidity and mortality. In recent years, we have many studies regarding using computational fluid dynamics (CFD) in aneurysm surgery. CFD helps in calculating the velocity of blood flowing in the aneurysm sac, the pressure in the aneurysm sac, and wall shear stress (WSS). CFD also helps in predicting nature of aneurysm wall and thus may warn about different intraoperative microscopy findings in aneurysms...
April 2018: Asian Journal of Neurosurgery
Kuntal Kanti Das, Jeena Joseph, Amit Kumar Singh, Pradeep Sharma, Jayesh Sardhara, Kamlesh Singh Bhaisora, Anant Mehrotra, Arun Kumar Srivastava, Sushila Jaiswal, Rabi Narayan Sahu, Awadhesh Kumar Jaiswal, Sanjay Behari
Germ cell tumors (GCTs) are rare intracranial tumors with a strong predilection for children. Commonly, these tumors arise either in the suprasellar or the pineal region. The basal ganglia-thalamus complex represents a rare site of nonmidline intracranial GCTs. Such basal ganglionic GCTs have been reported to produce certain interesting clinico-radiological features, the knowledge of which may provide important diagnostic clues preoperatively. We present the case of a 9.5-year-old boy who presented with right hemiparesis and precocious puberty...
April 2018: Asian Journal of Neurosurgery
Chi Hau Tan, Leon T Lai, Ronil V Chandra
Distal anterior choroidal artery (AChA) aneurysms are infrequent. We discuss the case of a 59-year-old patient who presented with an isolated intraventricular hemorrhage (IVH) secondary to a ruptured distal AChA aneurysm. Initial noninvasive cerebral computed tomography angiography revealed no evidence of an underlying vascular pathology. The patient underwent further digital subtraction cerebral angiography, which revealed an aneurysm arising from the distal AChA segment. The aneurysm was successfully treated with surgical clip ligation...
April 2018: Asian Journal of Neurosurgery
Ninh B Doan, Mohit Patel, Ha Son Nguyen, Hayley Doan, Andrew Montoure, Saman Shabani, Michael Gelsomino, Karl Janich
Chronic subdural hematoma (CSDH) is a relatively common condition encountered in a neurosurgical practice. There have been increased efforts in creating different treatment regimens for CSDH to improve patients' outcomes, including the addition of tissue plasminogen activator (tPA) in drains to reduce recurrences. Here, we present the first case report of the safe use of tPA in conjunction with an Integra Camino bolt for maximized drainage of CSDH with a successful neurological recovery and the complete resolution of the hematoma...
April 2018: Asian Journal of Neurosurgery
Naoki Otani, Kojiro Wada, Terushige Toyoka, Kentaro Mori
Surgical clipping of paraclinoid aneurysms involving the anterior clinoid process (ACP) can present great challenges because strong adhesion may hinder dissection of the surrounding anatomical structures from the aneurysm dome. On the other hand, retrograde suction decompression (RSD) through direct puncture of the common carotid artery is a useful adjunct technique for clipping of these aneurysms. The present case illustrates that direct clipping of paraclinoid aneurysms involving the ACP can be achieved safely and less invasively using RSD during anterior clinoidectomy...
April 2018: Asian Journal of Neurosurgery
Amitesh Dubey, Rashim Kataria, Vimal R Sardana
Melanocytoma is rare pigmented tumor of the leptomeninges which arise from the neural crest. Intramedullary location of the tumor is extremely rare, and only a few case reports are available in the literature. We report a case of 35-year-old female with the entity who had a near total removal of the intramedullary tumor with good postoperative outcome. The available literature is reviewed.
April 2018: Asian Journal of Neurosurgery
Ninh Ba Doan, Mohit Patel, Ha Son Nguyen, Karl Janich, Andrew Montoure, Saman Shabani, Michael Gelsomino
Medulloblastomas are categorized as the World Health Organization Grade IV neoplasms. Only 33 cases have been reported of extra-axial, mostly in the cerebellar pontine angle and lateral cerebellar hemisphere, medulloblastomas in the current literature. Our study showcases the first case of an extremely rare presentation of an extra-axial midline tentorial adult medulloblastoma with the dural-tail sign mimicking a meningioma. To achieve the best possible outcome, a high index of suspicion for medulloblastoma is critical especially in young patient with an atypical posterior fossa mass as treatment regimens drastically different between a medulloblastoma and a meningioma...
April 2018: Asian Journal of Neurosurgery
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